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ONF:散步锻炼可以改善癌症患者睡眠质量

2015-03-26 QQduhq 译 MedSci原创

研究目的:评估散步锻炼对癌症患者睡眠改善的有效性。数据来源:数据来源于中国知识集成数据库、护理学数据库、科克伦中心有登记的对照试验、荷兰医学文摘、心理学文摘、文献数据库、万方数据库、Web of Science数据库等等。资料整合:我们共收集了共9个包括599位病人的随机对照试验,大多数试验表明,病人采用中等强度的散步来锻炼身体。总的来说,散步锻炼可以明显改善癌症患者的睡眠质量(Hedges’ g

研究目的:
评估散步锻炼对癌症患者睡眠改善的有效性。


数据来源:
数据来源于中国知识集成数据库、护理学数据库、科克伦中心有登记的对照试验、荷兰医学文摘、心理学文摘、文献数据库、万方数据库、Web of Science数据库等等。

资料整合:
我们共收集了共9个包括599位病人的随机对照试验,大多数试验表明,病人采用中等强度的散步来锻炼身体。总的来说,散步锻炼可以明显改善癌症患者的睡眠质量(Hedges’ g = –0.52)。经总结分析我们发现,仅采用散步锻炼相比散步结合其他锻炼方式,对癌症患者睡眠质量的改善产生了类似影响和效果,并且这种影响和效果的存在不因病人而异,也不因病人所处的癌症分期不同而变化。且乳腺癌患者经散步锻炼后睡眠质量改善的效果和其他癌症患者散步后睡眠质量改善的效果相似。

结论:
试验表明,中等强度的散步锻炼方式可以有效改善癌症患者的睡眠质量。

对护理的启迪:
研究所得结论支持我们将中等强度的散步锻炼纳入使患者睡眠质量改善的诸多途径中。对于有睡眠问题的患者,护士必须将散步可以有效改善睡眠质量这一讯息告诉他们。

除此之外,小编认为,癌症患者睡眠质量差是由于两大问题:疾病所致的不同程度的身体不适和严重的心理问题。因此为了改善患者的睡眠质量,我们除了采用不同的治疗方式解除他们的病痛,使他们感到身体上的舒适,还应与他们多进行情感沟通和心理教育,解除他们的恐惧心理,鼓励他们生活的信心,重振生活的勇气等。众病友一起散步锻炼的话,可以彼此敞开心扉,互相鼓励,减轻心理压力,而且,散步锻炼可以改善患者的睡眠质量,增强癌症患者的体质和免疫力,因此,散步锻炼对于癌症患者来说,好处不只一个,我们医务工作者应多多普及,将这一有效方式告诉他们。

原始出处:

Hsiao-Yean Chiu,Hui-Chuan Huang,Pin-Yuan Chen,Wen-Hsuan Hou,Pei-Shan Tsai.Walking Improves Sleep in Individuals With Cancer: A Meta-Analysis of Randomized, Controlled Trials.ONF 2015, 42(2), E54-E62 DOI: 10.1188/15.ONF.E54-E62

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    2015-05-24 ljjj1053

    不错,学习了

    0

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    2015-04-11 twostops

    不用药的好方法

    0

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    2015-03-26 zhouanxiu

    不错,

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=24671, encodeId=09ac246e1d1, content=不错,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ac181616815, createdName=ljjj1053, createdTime=Sun May 24 12:22:00 CST 2015, time=2015-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20165, encodeId=c294201650b, content=不用药的好方法, beContent=null, objectType=article, channel=null, level=null, likeNumber=140, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28c01618629, createdName=twostops, createdTime=Sat Apr 11 12:12:00 CST 2015, time=2015-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1289458, encodeId=82ec128945817, content=<a href='/topic/show?id=cbb8e1356f7' target=_blank style='color:#2F92EE;'>#癌症患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71356, encryptionId=cbb8e1356f7, topicName=癌症患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=10ba218, createdName=zgwhgch, createdTime=Sat Mar 28 01:08:00 CST 2015, time=2015-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305723, encodeId=f7b91305e2370, content=<a href='/topic/show?id=e87de303850' target=_blank style='color:#2F92EE;'>#睡眠质量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73038, encryptionId=e87de303850, topicName=睡眠质量)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f612331, createdName=gds2009, createdTime=Sat Mar 28 01:08:00 CST 2015, time=2015-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=18949, encodeId=1d8718949a3, content=不错,, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3yz0JbjHQ7nicJU7lHMOu0Itf3Zv3VBzEvK3k4AFPBXhiaxIRNGVI33GicoRXQEjkaasjdlWKwZuwcyhDP9Jibqt5ct/0, createdBy=f1281613275, createdName=zhouanxiu, createdTime=Thu Mar 26 23:09:00 CST 2015, time=2015-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=18922, encodeId=eb13189226a, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=156, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Thu Mar 26 20:26:00 CST 2015, time=2015-03-26, status=1, ipAttribution=)]
    2015-03-26 lovetcm

    有意思

    0

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